MS. ANITA GAIL GRAVES-JACKSON


Address: 2041 Martin Luther King Jr Ave Se Fl 3, Washington, DC 20020-7024
Phone: 2028897900

MS. ANITA GAIL GRAVES-JACKSON (NPI# 1922615913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922615913
Entity Type Individual
Full Name MS. ANITA GAIL GRAVES-JACKSON
Credential CACI
Practice Address 2041 Martin Luther King Jr Ave Se Fl 3
Washington
DC 20020-7024
Practice Telephone 2028897900
Mailing Telephone 2028897900
Mailing Fax Number 2026103095
Enumeration Date 2020-09-24
Last Update Date 2020-09-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
CACI1116 DC Behavioral Health & Social Service Providers

Office Location

Street Address 2041 MARTIN LUTHER KING JR AVE SE FL 3
City WASHINGTON
State DC
Zip Code 20020-7024

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1154943363 Brian Wesley Matthews Counselor 1400 Florida Ave Ne Apt 911, Washington, DC 20002-5028 2020-05-11
1225659519 Michael Thomas Moore Counselor 920 Belview St. Se, Washington, DC 20032 2020-04-28
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1194351304 Lola Johnson Counselor 920 Bellevue St Se # Wdc, Washington, DC 20032-6030 2020-03-19
1437783396 Empowerment Justice Center Counselor 4900 10th St Ne, Washington, DC 20017-3928 2020-02-28
1588215982 Sara Osborne Counselor 164 Wykeham Road, Washington, CT 06793 2019-09-26
1093271975 Clare H Harris Counselor 113 Armory Pointe, Washington, NC 27889-5085 2019-02-15
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Competitor

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City WASHINGTON
Zip Code 20020

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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